Provider Demographics
NPI:1013006881
Name:JAMES POLLECK TUTTLE
Entity Type:Organization
Organization Name:JAMES POLLECK TUTTLE
Other - Org Name:DR. JAMES P. TUTTLE AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:TUTTLE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-755-6906
Mailing Address - Street 1:2050 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2844
Mailing Address - Country:US
Mailing Address - Phone:717-755-6906
Mailing Address - Fax:717-840-4847
Practice Address - Street 1:2050 E MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2844
Practice Address - Country:US
Practice Address - Phone:717-755-6906
Practice Address - Fax:717-840-4847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA152W00000X, 332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No332H00000XSuppliersEyewear SupplierGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02793800OtherCAPITAL BC
PATU1818346OtherHIGHMARK BS
PATU1818346OtherHIGHMARK BS
PA02793800OtherCAPITAL BC